| Umar-ervin | |
|
1400 Spring Tree Ct High Point NC 27265-9356 | |
| (866) 272-7826 | |
| Not Available |
| Full Name | Umar-ervin |
|---|---|
| Speciality | Custodial Care Facility - Adult Care Home |
| Location | 1400 Spring Tree Ct, High Point, North Carolina |
| Authorized Official Name and Position | Lori Maness (CONTROLLER) |
| Authorized Official Contact | 7049861523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Umar-ervin 350 Pee Dee Ave Ste 101 Albemarle NC 28001-4945 Ph: (866) 272-7826 | Umar-ervin 1400 Spring Tree Ct High Point NC 27265-9356 Ph: (866) 272-7826 |
| NPI Number | 1457139487 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 10/24/2023 |
| Certification Date | 10/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457139487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 311ZA0620X | Custodial Care Facility - Adult Care Home | (* (Not Available)) | Primary |
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